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CANNON PHARMACY NORTH
CH044523F Cabarrus Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Cabarrus Community Health Centers, Inc.
Subdivision Name
Salisbury Health Center
Type
HRSA-Funded Health Center
340B ID
CH044523F
Entity Address
2129 Statesville Blvd
Salisbury, NC 28147-1411
Grant Number
H80CS06652
Participating Start Date
10/1/2020
Last Recertification Date
1/30/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
CANNON PHARMACY NORTH
Pharmacy Address
1402 N CANNON BLVD
KANNAPOLIS, NC 28083
Pharmacy Comments
Contract Details
Approval Date
7/31/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
Cannon Pharmacy
Ryan Armstrong, Owner
(704) 933-7948
Signed By Date
7/28/2020
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